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[Lower urinary track function in children with urinary track infection]
Wojciech Apoznański1, Rafał Chrzan, Dariusz Patkowski
1Katedra i Klinika Chirurgii i Urologii Dzieciecej AM we Wrocławiu.
Insights
Urodynamic studies in children with urinary tract infections (UTIs) show no significant differences in uroflowmetric parameters compared to healthy children. This suggests typical uroflowmetry may not identify specific signs of UTIs in pediatric patients.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
Context:
- Urodynamic studies are increasingly used in diagnosing pediatric urinary tract diseases.
- These evaluations are also employed to identify causes of urinary tract infections (UTIs) in children.
Purpose:
- To evaluate uroflowmetric parameters in children diagnosed with urinary tract infections.
- To identify potential typical uroflowmetric signs associated with UTIs in pediatric patients.
Summary:
- A study analyzed 94 children (ages 5-15) with UTIs and a control group of 195 children (ages 5-16).
- Standard uroflowmetric parameters including maximal flow, average flow, bladder volume, residual volume, and flow time were assessed.
- No statistically significant differences were found in uroflowmetric parameters between children with UTIs and the control group (p < 0.05).
Impact:
- Findings indicate that standard uroflowmetry may not reveal distinct patterns in children with uncomplicated UTIs.
- This suggests that uroflowmetry alone may be insufficient for diagnosing UTIs in pediatric populations without specific predisposing factors.
Abstract:
During the last decade more and more urodynamic studies in children have been performed as a step in diagnostic process of urinary tract diseases in children. Such a procedure is done to diagnose a cause of urinary tract infection as well. The aim of our study was to evaluate uroflowmetric parameters in children with urinary tract infections and try to find typical sings. Among the children examined at the Department as an out-patient we randomly selected the group of 379 patients. There were 94 patients afflicted with urinary tract infection without any special predisposing factors. The range of age was 5-15 years (ave--9.1, Me--9). There were 84 girls and 10 boys. A control group consisted of 195 patients in the range of age 5-16 years (ave 9.6). We analysed standard parameters of the uroflowmetric protocol (maximal and average flow, urinary bladder volume, residual volume, and time flow). Results were presented as average (X) and standard deviation (SD). There was no statistically significant difference between both group (p < 0.05).